This Pathological Life

Every disease has a story to tell – Dr. Travis Brown

This Pathological Life podcast is an inspired collaboration between General Pathologist Dr. Travis Brown and seasoned radio interviewer and podcaster, Steve Davis. By using a storytelling format, they share the history behind diseases and put health challenges into context to deepen your library of anecdotes and explanations.

Episodes

S2E31: Ep 31 Allergies Part Two | Anaphylaxis and Fighting Food

In 1901, an experiment when horribly wrong when Doctors attempted to induce tolerance in to a group of dogs by repeated injections of poison. The results were reproducible. Furthermore, the substance did not even need to be poisonous. In 1902, the reaction was called Anaphylaxis.

In the 1920s, a spate of Scientists and Doctors self-experimentation led to a range of discoveries about food allergies and reactions. Injecting skin, injecting nasal turbinates, and injection volunteers (including children) helped us to understand the different types of reactions the gastrointestinal tract can have to different foods allergens.

Join us as we discuss Part Two to our Allergies Podcast with Dr Daman Langguth and learn our current understanding of Anaphylaxis and food allergies.

This podcast is eligible for 1 RACGP CPD point – self reporting.

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S2E30: Ep 30 Allergies Part One | Friendly Fire

Our immune system provides the means for us to live in a world full of pathogens.However, sometimes it gets it wrong and we can find ourselves debilitated because of our own immune system.Allergies and hypersensitivies fall into this category, with symptoms ranging from the mildly irritating, to the life-threatening anaphylaxis.

Our knowledge of these ailments come from a variety of observational and experimental studies.

In the late 1800’s and early 1900’s, they did not understand the immune system nor allergies. Terms used to describe these diseases (that we know today as allergies) were Summer colds, Summer flu, Hay-asthma, and Hay-fever.The causes were unknown, the treatment ranged from experimental to dangerous and the Scientists often used themselves as the study subjects/volunteers. However, it took some clever minds and quite a bit of courage (not to mention a lot of dogs and other experimental animals) to gather the understanding of these conditions that we have today.

Our special guest isDr Daman LangguthHead of Immunology Department Sullivan Nicolaides Pathology (SNP), Chair of SNP Partners, Member of Executive Advisory Committee, Chair of the Data Request Committee.

Daman has particular expertise in the investigation of auto-immune disease, allergy, and immune deficiency and has special interests in idiopathic inflammatory myositis, vasculitis, IgG4-related systemic disease and e-Health.

SNP’s Immunology Departmentis the largest laboratory of its kind in Australia.

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S2E29: CST Cervical Screening | A smear in time (saves lives)

In 1952, George Papanicolaou with the National Cancer Institute embarked on the first ever cervical screening trial.The results were remarkable and the first demonstration of the power of screening an asymptomatic population.

However, the path to this point took decades of perseverance and self-belief.This feat changed the course of medicine and can be attributed to two people: George and Mary Papanicolaou.

Cervical screening is one of the most effective screening programs ever initiated.

Combined with the recent advancements of HPV molecular testing and the HPV vaccine, Cervical cancer is now relatively uncommon and has an excellent prognosis.


SPECIAL GUEST

Dr Cos Fusco
Doctor of Health Science, Master of Medical Science (Pathology)
Fellow of the International Academy of Cytology
CT(ASC) Australian Society of Cytology

Currently Supervising Cytologist Clinpath Pathology

Additionally, Dr Fusco is a current committee member of the RCPAQAP Cytopathology advisory committee 2019-2023 and Scientific coordinator (SA) for The IMPACT National HPV study.

He started his cytology training in 1986 at the then Gribbles Pathology. He worked in Cytology and Histology at Gribbles, IMVS, Clinpath and Adelaide Pathology Partners. In 2006, Dr Fusco started the Cytology laboratory at Adelaide Pathology Partners at the invitation of Dr Fergus Whitehead, and continued with this role post merger with Clinpath Pathology.

His Doctoral Thesis was based on HPV HR DNA testing, HPV vaccination and molecular biomarkers and the potential impacts, on the Australian cervical screening program. Cervical cancer and HPV related cancers are an interest and a focus for research. He has a strong interest and involvement in Endobronchial Ultrasound FNA (EBUS FNA) collection for lung cancer staging and diagnosis.

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S2E28: Ep 28 | Data MyHealthRecord | Data Deep Dive

Health records are arguably the single most important and personal collection of data anyone can have. With records containing doctor visits, consultation notes, pathology results, radiology reports, medications, allergies, etc., it is hard to overstate its significance.

In fact, these records can save lives.

The Australian Government has implemented an opt-out arrangement for MyHealthRecord and as such, there has been a rise in the number of records available. However, this venture has not been without its stumbles, detractors, and challenges.

We discuss medical records with Dr Chris Moy, who has been a national leader in developing and promoting My Health Record, the electronic ‘filing system’ of Australians’ individual health histories.

GUEST INTERVIEW

AMA(SA) President Dr Chris Moy
MBBS, FRACGP, FAMA

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S2E27: Ep 27 Coronavirus SARS-CoV-2 | Covidity 2021

COVID-19: Testing the strength of nations

As the pandemic continues to rage, we take a snapshot in time about our current understanding from an epidemiological, pathological, microbiological and immunological viewpoint of COVID-19.

This pandemic has tested the Governments, Politicians and the Public Health of nations; some have responded valiantly; others have been found lacking. The deviation from our regular style podcast is because we are living the COVID story.

Our special guest is Dr Daman Langguth Head of Immunology Department Sullivan Nicolaides Pathology (SNP), Chair of SNP Partners, Member of Executive Advisory Committee, Chair of the Data Request Committee.

Daman has particular expertise in the investigation of auto-immune disease, allergy, and immune deficiency and has special interests in idiopathic inflammatory myositis, vasculitis, IgG4-related systemic disease and e-Health.

SNP’s Immunology Departmentis the largest laboratory of its kind in Australia.

Known for pushingthe boundaries and pioneering new technologies it is acknowledged as the most advanced flow cytometrylab in diagnostic practice. With Australia’s most diverse range of autoantibody assays, the lab is also at the forefront of autoantibody testing. In a partnership with a UQ engineering research team it is breaking new ground in digital pathology and image analysis.

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S2E26: Ep 26 Indigenous Health | A Tale of Two Worlds

Caitlan Davis starts Episode 26 with,

“In the spirit of reconciliation Clinpath Pathology acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today. Today’s episode of This Pathological Life, looks at Indigenous Health and its intersection with Pathology, along with health issues and challenges among Australia’s first European settlers. But first…

First Australians meet the First Fleet

The American revolution forced the British to investigate alternate destinations for penal colonies. The answer came from a Botanist who travelled with Captain James Cook in 1770 to a land they called New South Wales.

With the decision made, this ‘new’ land would be forever changed.

The First Fleet took a year to prepare and eight months to voyage to New South Wales and suffered from a variety of ailments (which we examine) on the way.

What we now call Australia, is a hard, dry unexpectedland, which proveddifficult for Europeans to manage and adjust.

YetIndigenous/Aboriginals survived and thrived in this land.

This episode explores Aboriginal medical knowledge with Dan Tyson, Chief Executive Officer at Desert Knowledge Australia from the year 1788, when the land was quite diverse in geographical areas and Aboriginal people were quite diverse in their technologies to survive.We ponder the recurring question of how when bush medicine and food is still used in many places today, why the health of the Australian Indigenous Communities remains so poor.

This is the tale of two worlds.


GUEST INTERVIEW
Dan Tyson, CEO Desert Knowledge Australia

Twitter: @dka_connect

LinkedIn Dan: linkedin.com/in/dan-tyson-8215636/

LinkedIn DKA: linkedin.com/company/dkaconnect/

Dan is currently member of the AMSANT Research Committee and a member of the Central Region Executive of the Chamber of Commerce however, and has also been a director of the Aboriginal Medical Services Alliance of the NT (AMSANT), and previously director and vice-chair of Katherine Regional Aboriginal Health and Related Services.

He co-founded the Aboriginal Business Industry Chamber of South Australia (ABICSA) and the Mental Health Coalition of SA. Dan holds a PhD in the field of medical anthropology and has worked extensively in the mainstream and Indigenous health sectors.


OTHER VOICES

Doris Pilkington, author, Follow The Rabbit Proof Fence

Joylene Koolmatrie, Aboriginal Healer and Psychologist

Kenneth Branagh, Rabbit Proof Fence

Rev John Brown, co-chair, National Sorry Day Committee

Sir Ronald Wilson, co-author, Bringing Them Home Report

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